Virginia Medicaid hospice rates
Virginia Medicaid pays $190.23 per Daily Rate for hospice routine home care (daily), effective October 1, 2026. Below: 5 more hospice rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Hospice routine home care (daily)
- $190.23per Daily Rate
- Rank among states
- —
- Registered nurse median wage
- $45.00BLS May 2025
- Virginia minimum wage
- $12.77$13.75 from January 1, 2027
Virginia hospice rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Virginia's official fee schedule.
| Service | Provider level | Code | VA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Hospice routine home care (daily) | All levels | 651 | $190.23 | Daily Rate | — | — | $186.66/day | $80.36 | $317.60 | 21 |
| Hospice continuous home care (hourly) | Registered nurse | 652 | $68.70 | Hourly Rate | — | — | $66.11/hr | $59.29 | $80.47 | 16 |
| Hospice inpatient respite (daily) | All levels | 0655 | $526.15 | — | — | — | $530.15/day | $212.93 | $629.83 | 19 |
| Hospice general inpatient care (daily) | All levels | 0656 | $1,123.29 | — | — | — | $1,157.99/day | $449.54 | $1,354.60 | 18 |
| Hospice end-of-life visit add-on (per hour) | Registered nurse | 0551 | $16.09 | — | — | 6 of 6 | $43.99 | $16.09 | $72.41 | 6 |
| Hospice room and board in a nursing home | All levels | 0658 | $105.09 | — | — | — | $296.46/day | $196.85 | $1,051.23 | 6 |
Hospice routine home care (daily): where Virginia ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New York | $317.60 | day | — | 2025-10-01 |
| 2 | Massachusetts | $231.13 | day | — | 2025-10-01 |
| 3 | Maine | $223.84 | day | — | 2025-10-01 |
| 4 | Rhode Island | $222.38 | day | — | 2026-10-01 |
| 5 | New Jersey | $219.21 | day | — | 2025-10-01 |
| 6 | Oregon | $215.11 | day | — | 2026-10-01 |
| 7 | Kansas | $202.68 | day | — | 2025-10-01 |
| 8 | Wisconsin | $192.39 | day | — | 2025-10-01 |
| 9 | Arizona | $190.02 | day | — | 2026-10-01 |
| 10 | Iowa | $187.01 | day | — | 2025-10-01 |
| 11 | Georgia | $186.66 | day | — | 2025-10-01 |
| 12 | South Dakota | $186.33 | day | — | 2026-10-01 |
| 13 | Utah | $183.64 | day | — | 2026-10-01 |
| 14 | Florida | $182.79 | day | — | 2026-10-01 |
| 15 | Texas | $182.18 | day | — | 2025-10-01 |
| 16 | Idaho | $181.75 | day | — | 2026-10-01 |
| 17 | Michigan | $180.60 | day | — | 2025-10-01 |
| 18 | Wyoming | $180.08 | day | — | 2025-10-01 |
| 19 | Missouri | $178.98 | day | — | 2025-10-01 |
| 20 | South Carolina | $173.92 | day | — | 2020-10-01 |
| 21 | Arkansas | $80.36 | day | — | 2026-10-01 |
What it costs to deliver in Virginia
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | VA median | US median | vs US |
|---|---|---|---|
| Registered nurse | $45.00 | $46.90 | -4.1% |
| Home health / personal care aide | $14.57 | $17.21 | -15.3% |
| Healthcare social worker | $31.99 | $32.63 | -2.0% |
| Chaplain | $26.65 | $29.24 | -8.9% |
Recent Virginia hospice rate changes
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from Virginia's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.